Claim total
$41,756.06
base $155.66 · payer covered $29,229.24
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-06-29
- Stop
- 2023-06-29
The parties
- Patient
- patient Agueda Raelene Dibbert
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
2c2a55c2-b04c-0ce4-93f1-f82a1319b60f